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4 fresh jobs found
Utilization Review Author (Weekend)
Remote, GA, United States R1 RCM logo R1 RCM
Milliman Evidence-based criteria Case reviews Management experience InterQual Data Abstraction Basic Computer Intelligent Automation Utilization Review +16
Mid Full Time
USD 78K+
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Field Medical Director, Interventional Cardiology (Remote)
Work at Home, United States Evolent logo Evolent
Utilization review accreditation Clinical rationale Cardiovascular utilization management Case reviews Medical Necessity Guidelines Peer-to-peer discussions Clinical Guidelines Interventional cardiology Clinical excellence +6
Exec Senior Part Time
USD 240K+
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Utilization Review Author
Remote, GA, United States R1 RCM logo R1 RCM
Case reviews Management experience Evidence-based criteria Milliman Data Abstraction InterQual Basic Computer Intelligent Automation Workflow Orchestration +15
Mid Full Time
USD 78K+
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Physician reviewer
Hingham, United States Blue Cross Blue Shield of Massachusetts logo Blue Cross Blue Shield of Massachusetts
Peer-to-peer outreach Case reviews Medical policy Computer Systems Health outcomes Conflict Management Clinical Judgment Care Coordination Utilization management +1
Mid Full Time
USD 232K+
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